Instruction Manual, part 3a: CLASSIFICATION AND CODING INSTRUCTIONS FOR BIRTH RECORDS, 1999- 2001 _____________________________________________________________________ This instruction manual was prepared by the Division of Vital Statistics. Questions regarding this manual and other related Vital Statistics Cooperative Program activities should be directed to the Data Acquisition and Evaluation Branch, Division of Vital Statistics, National Center for Health Statistics, P.O. Box 12214, Research Triangle Park, North Carolina 27709. Questions concerning analysis of natality data should be referred to the Reproductive Statistics Branch, Division of Vital Statistics, National Center for Health Statistics, 6525 Belcrest Road, Presidential Building, Room 820, Hyattsville, Maryland 20782. Table of Contents Page Section I - Introduction . . . . . . . . . . . . . . . . . . ................................ . . . . . . . .1 Section II - Procedures for Electronic Files . . ........................ . . . . . . . . . . . . .1 Receipts . . . . . . . . .......................................... . . . . . . . . . . . . . . . . . . . . .1 Processing. . . . ........................................ . . . . . . . . . . . . . . . . . . . . . . . . .2 Section III - File Layout and Coding Instructions . . . . . . . . ................ . . . . .2 1999-2001 Natality File Layout. . . . . . . .......................... . . . . . . . . . . . .3 Shipment Number . . . . . . . . . . . . . . . . . . . . . . . . . .............................. . 4 Birth Number . . . . . . . . . . . .................................. . . . . . . . . . . . . . . . . 4 Date of Birth . . . . . . . . . . . . . . ...................................... . . . . . . . . . . . . 4 Sex . . . . . . . . . . . . . . . . . . . . . . ............................................ . . . . . . . . . .4 Geographic Place of Birth - State, County . . . .................. . . . . . . . . . . 5 Type of Place of Birth . . . .............................. . . . . . . . . . . . . . . . . . . . .5 Attendant at Birth . . . . . . . . . . . . . . .................................. . . . . . . . . . 6 Mother's Date of Birth . . . . . . . . . . . . . . ............................ . . . . . . . . 7 Mother's Birthplace . . .............................. . . . . . . . . . . . . . . . . . . . . . . 8 Residence of Mother . . . . . . . . . . . . . . . . . . ............................. . . . . . . 9 Father's Date of Birth . . ............................... . . . . . . . . . . . . . . . . . . . . 16 Hispanic Origin . . . . . . . . . . . . . . . . . . . ................................. . . . . . . . 17 Race of Mother. . . . ................................ . . . . . . . . . . . . . . . . . . . . . . . 19 Race of Father. . . . . . . . . . . . . . . . . . . . . . .................................. . . . . . 19 Education of Mother . . .............................. . . . . . . . . . . . . . . . . . . . . . 21 Education of Father . . . . . . .............................. . . . . . . . . . . . . . . . . . . 22 Pregnancy History . . . . . . . . ............................... . . . . . . . . . . . . . . . . 23 Date of Last Live Birth . . . . . . . . . . ............................ . . . . . . . . . . . . 23 Mother Married? . ............................. . . . . . . . . . . . . . . . . . . . . . . . . . 24 Date Last Normal Menses Began . . . . . . . . . . . . . . . .................... . . . 25 Month of Pregnancy Prenatal Care Began . . .............. . . . . . . . . . . . . 26 Prenatal Visits . . . .................................. . . . . . . . . . . . . . . . . . . . . . . . 27 Birth Weight . . . . . . . . . . . . . . . . .................................... . . . . . . . . . . 27 Clinical Estimate of Gestation Weeks . . . . . . . . . .................. . . . . . . 28 Plurality . . . . . . . . . . . . . . ..................................... . . . . . . . . . . . . . . . 28 Apgar Score . . . . . . . . . . . . . . . .................................. . . . . . . . . . . . . . 29 Medical Risk Factors for This Pregnancy . . . . ............... . . . . . . . . . . 30 Other Risk Factors for This Pregnancy . . . . . . . . . ................... . . . . . 31 Obstetric Procedures . . . . . . . . . ............................. . . . . . . . . . . . . . . 32 Complications of Labor and/or Delivery . . . ................. . . . . . . . . . . . 33 Method of Delivery . . . . . ............................ . . . . . . . . . . . . . . . . . . . 34 Abnormal Conditions of the Newborn . . . . . . . . . . . . . ................ . . . 35 Congenital Anomalies. . . . . . . . . . . . . ............................ . . . . . . . . . . . 36 Receipt Date . . . . . . . . . . . . . . . . . .................................. . . . . . . . . . . 37 Age of Mother . ................................ . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Age of Father . . . . . . . .................................. . . . . . . . . . . . . . . . . . . . . 37 Appendix A - Geographic Codes for State of Birth and Residence . . . . . . . 38 Appendix B - List of Major Cities in the United States and the States in Which They are Located ..................... . . . . . . . . . . . . . . . . 40 Appendix C - Interpretations of Atlas Notations . . ............ . . . . . . . . . . . 41 Appendix D - Largest City and Code by State of Residence .... . . . . . . . . . 42 Appendix E - Other Entries Reported on Records and Code for Race . . . . 44 Appendix F - Indian Tribes in the United States, Canada, and Mexico . . . 49 Appendix G - Other Entries Reported on Records and Codes for Education of Mother and Father . . . . . ................... . . . . . . . . . . 53 Appendix H - Other Entries Reported on Records and Codes for Hispanic Origin . ................................ . . . . . . . . . . . . . . . . . . . . . . . . 54 Appendix I - Sampling Rate . . . . . . . . . . . ........................ . . . . . . . . . . . . . 55 Illustration 1 - Certificate of Live Birth . . . . . . . . . . . . . ...................... . . . 56 Vital Statistics Instruction Manuals . . . . . . . . . ..................... . . . . . . . . . . 57 CLASSIFICATION AND CODING INSTRUCTIONS FOR BIRTH RECORDS, 1999-2001 Section I - Introduction This manual documents specifications for coding and key entry of statistical items that will be tabulated from the birth certificate by the National Center for Health Statistics (NCHS). Primarily, these specifications are used by 54 registration areas of the United States (50 states, District of Columbia, New York City, Puerto Rico and The Virgin Islands) that submit data to NCHS in electronic form through the Vital Statistics Cooperative Program (VSCP). Under the terms of the VSCP contracts with NCHS, the registration area must incorporate NCHS specifications into their own procedures so that the resultant data files meet the needs of both NCHS and the registration area. Changes effective with 1999 are in bold print. Section II - General Procedures for Electronic Files A. Receipts All registration areas provide coded data to NCHS in electronic form (tapes, diskettes and PC to PC). These files include all of the live birth events registered within their jurisdiction for each calendar year. In general, data are transmitted on a monthly basis (but twice monthly is preferred). Transmittals take place at regular intervals and contain any and all records received and initially processed in the state office since the last transmittal to NCHS regardless of the month of the occurrence of the event. A record need not be "perfect" to qualify for transmittal. Each regular data transmittal shall contain all replacement records processed to date incorporating updated information from any source. For purposes of full utilization and release of the data, states are expected to transmit the majority of records within six months of occurrence and a complete and final version of all records by July 31. B. Processing As the files are received at NCHS-RTP, they are automatically checked for completeness, individual item code validity, and unacceptable inconsistencies between data items. The registration area is notified of any problems. In addition, NCHS staff review the files on an ongoing basis to detect problems in overall quality such as inadequate reporting for certain items, failure to follow NCHS coding rules, and systems and software errors. Traditionally, quality assurance procedures have been limited to review and analysis of differences between the NCHS and registration area code assignments for a small sample of records. In recent years, this procedure has been augmented by analyses of year to year and area to area variations in the data. These analyses are based on preliminary tabulations of the data that are cumulated on a year to date basis each month. All differences that are judged to have consequences for quality and completeness are investigated by NCHS. In the review process, statistical tests are used to call initial attention to differences for possible follow-up. As necessary, registration areas are informed of differences encountered in the tables and asked to verify the counts or to determine the nature of the differences. Missing records (except those permanently voided) and other problems detected by NCHS should be resolved and corrections transmitted to NCHS in the same manner as for those corrections identified by the registration area. Section III -File Layout and Coding Instructions This section provides the code structure, coding instructions, and output file locations for each item in the national data set. Changes were made to the following items effective in 1999 to expand all year fields to four digits: Date of Birth Mother's Date of Birth Father's Date of Birth Date Last Normal Menses Began Note: The old locations for these years have been converted to "Filler" and should be blank. 1999-2001 NCHS Natality File Layout Items File Items File Location Location Shipment No. 1 - 2 Filler 65 Certificate No. 3 - 8 Month Preg. Prenatal Care 66 Date of Birth Named Month 67-68 Month 9 - 10 Prenatal Visits (Total) 69-70 Day 11 - 12 Birth Weight Filler 13 - 14 Units 71 Sex 15 Grams or Pounds/ounces 72-75 Geographic Place of Birth Clinical Est. Of Gestation 76-77 State 16 - 17 Plurality 78 County 18 - 20 Apgar Score Type of Place of Birth 21 1 Minute (Item deleted effected 1995) 79-80 Attendant at Birth 22 5 Minutes 81-82 Mother's Date of Birth Medical Risk Factors for Month 23 - 24 Pregnancy 83-100 Day 25 - 26 Filler 101-116 Filler 27 - 28 Other Risk Factors for this Mother Birthplace (State) 29 - 30 Pregnancy Residence of Mother Tobacco 117 State 31 - 32 Aver. No. Cigar. Day 118-119 County/city 33 - 35 Alcohol Use 120 Father's Date of Birth Aver. No. Drinks Week 121-122 Month 36 - 37 Weight Gained in Preg. 123-124 Day 38 - 39 Obstetric Procedures 125-132 Filler 40 - 41 Filler 133-138 Hispanic Origin Comp. Of Labor/delivery 139-155 Mother 42 Filler 156-170 Father 43 Method of Delivery 171-177 Race Filler 178-182 Mother 44 Abnormal Cond. Of Father 45 Newborn 183-192 Education Filler 193-200 Mother 46 - 47 Congenital Anomalies 201-223 Father(Item Deleted Effective 1995) 48 - 49 Date of Birth Year 224-227 Pregnancy History Mother's Date of Birth Live Births - Now Living 50 - 51 Year 228-231 Live Births - Now Dead 52 - 53 Father's Date of Birth Year 232-235 No. Other Terminations 54 - 55 Date Last Normal Menses Date of Last Live Birth Year 236-239 Month (Item Deleted Effective 1994) 56 - 57 Filler 240 Year (Item Deleted Effective 1994) 58 - 59 Receipt Date (NCHS use only) 241-244 Mother Married? 60 Age Date Last Normal Menses Mother 245-246 Month 61-62 Father 247-248 Day 63-64 Filler 249-255 Item Output Code Structure Coding Instructions Position(s) SHIPMENT 1-2 For NCHS use only. State is NUMBER to leave blank. BIRTH 3-8 Left zero fill. NUMBER DATE OF BIRTH Month 9-10 January. . . . . . . . . . 01 February . . . . . . . . . 02 March. . . . . . . . . . . 03 April. . . . . . . . . . . 04 May. . . . . . . . . . . . 05 June . . . . . . . . . . . 06 July . . . . . . . . . . . 07 August . . . . . . . . . . 08 September. . . . . . . . . 09 October. . . . . . . . . . 10 November . . . . . . . . . 11 December . . . . . . . . . 12 Not Classifiable . . . . . 99 Day 11-12 01-31 Not Classifiable . . . . . 99 Year 224-227 Enter four digit year. Year of birth must be reported. Filler 13-14 Blank SEX 15 Male . . . . . . . . . . . .1 If sex is not clearly Female . . . . . . . . . . .2 identified, code from name. Not Classifiable . . . . . .9 If name does not establish sex clearly, code 9. Item Output Code Structure Coding Instructions Position(s) GEOGRAPHIC PLACE OF BIRTH STATE 16-17 Refer to Appendix A. Enter appropriate code. COUNTY 18-20 Refer to Part 8 Instruction Manual, Vital Records Geographic Classification, 1995. Use code designated "Balance of County" or "Entire County." Code given for coextensive or independent city is to be used as county code. TYPE OF 21 Hospital . . . . . . . . . . 1 Code from checkbox. PLACE OF Freestanding BIRTH Birthing Center. . . . . . . 2 If Place of Birth is blank Clinic/Doctor's or entry of "en route" or Office . . . . . . . . . . . 3 "BOA" only are reported, Residence. . . . . . . . . . 4 refer to facility name and Other. . . . . . . . . . . . 5 code as indicated by Not Classifiable . . . . . . 9 facility name assuming entry to be "hospital" unless otherwise specified. Item Output Code Structure Coding Instructions Position(s) ATTENDANT 22 M.D. (Doctor of Code attendant based on AT BIRTH Medicine). . . . . . . . . 1 the checkbox entry. If no checkbox is indicated but D.O. (Doctor of the title of the attendant Osteopathy) . . . . . . . .2 is identified by the name, code accordingly. C.N.M. (Certified Nurse Midwife) . . . . . . . . . 3 If the name of the attendant is reported without a title Other midwife. . . . . . . . 4 and the name is different Other. . . . . . . . . . . . 5 from that of the certifier, Not Classifiable . . . . . . 9 code 9. If the attendant item is blank, refer to the signature or title of the certifier and code attendant based on information reported for the certifier. Item Output Code Structure Coding Instructions Position(s) MOTHER'S DATE OF BIRTH Month 23-24 January. . . . . . . . . . .01 Code as reported. February . . . . . . . . . .02 March. . . . . . . . . . . .03 If any part of the date is not April. . . . . . . . . . . .04 reported, code only the missing May. . . . . . . . . . . . .05 component Not Classifiable. June . . . . . . . . . . . .06 July . . . . . . . . . . . .07 August . . . . . . . . . . .08 September. . . . . . . . . .09 October. . . . . . . . . . .10 November . . . . . . . . . .11 December . . . . . . . . . .12 Not Classifiable . . . . . .99 Day 25-26 01-31 Not Classifiable . . . . . .99 Year 228-231 Enter four digit year. Not Classifiable . . . . .9999 Filler 27-28 Blank Item Output Code Structure Coding Instructions Position(s) MOTHER'S BIRTHPLACE (STATE) 29-30 States and Refer to Appendix A for State Possessions. . . . . . . 01-54 and possession codes. Canada . . . . . . . . . . .55 When a county or city entry is reported and State of birth of Cuba . . . . . . . . . . . .56 mother is not specified, refer to the State of Mexico . . . . . . . . . . .57 occurrence, in the Part 8, Vital Records Geographic Remainder of the Classification Manual, 1995 World. . . . . . . . . . . .59 and code to State of occurrence if county or city is Not Classifiable . . . . . .99 listed in that State. If the named city is not listed as an incorporated city for State of occurrence, refer to the List of Major Cities, Appendix B and code the State indicated for that city. If not in List of Major Cities, code the State when the reported city makes the State obvious (e.g., Richmond - code Virginia.) Item Output Code Structure Coding Instructions Position(s) RESIDENCE OF MOTHER State 31-32 Refer to Appendix A. Enter appropriate code. County or City 33-35 Refer to the Part 8 Rules for use of coding table Instruction Manual, Vital (pages 12-15) for Place of Records Geographic Residence of Mother. Classification, 1995. (Use Section II only when Apply rules in sequential order. certificate contains no county entry.) If "rural" is entered, code by line 2 of table and stop. If "rural" is not entered, find line item that fits reporting on certificate and heading that describes reporting in "City Limits Item." Code according to instructions given when horizontal line and vertical column intersect. Example City but no county entry and outside of city limits. Select line 6A and column (b). Instruction where these intersect is to code "Balance of County 1/." Additional instructions: Disregard the name of a state, county, or city entered on the address line when an entry is reported in the space provided for these items. Item Output Code Structure Coding Instructions Position(s) RESIDENCE When the state, county, or city entry OF MOTHER - has obviously been typed on the Cont. incorrect line, consider the entry when classifying resident. If a city entry is reported with North, East, South, or West, check the atlas to determine if it is a separate geographic place or an inclusion of the named city. If the named place is not listed in the atlas, consider the entry to be an inclusion of the city named (e.g., East Durham is not listed in the atlas, and, therefore, is considered to be an inclusion of the city of Durham). If county is reported and two cities are reported on the city line, check atlas to determine if one is an inclusion. If not, code to city with the larger population. If no county entry is reported and the city is not listed in the Part 8 Instruction Manual, Vital Records Geographic Classification, 1995, Section II, refer to the atlas to determine county. If atlas indicates city is listed in two counties, refer to the U.S. Census Population 1990, "Number of Inhabitants" and code to the county containing the largest part of the city's population. If New York City is reported as place of residence and no borough is reported, code to Manhattan Borough. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER _____________________________________________________________________________________ (a) (b) Inside City Limits Inside City Limits Yes No _______________________________________________________________________________________ 1. Blank County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ 2. "Rural" entry Balance of County Balance of County _______________________________________________________________________________________ 3. City listed in Geographic City Balance of County Code Manual (includes independent and coextensive cities.) _______________________________________________________________________________________ 4. City not listed in Balance of County Balance of County Geographic Code Manual _______________________________________________________________________________________ 5. County, but no city entry Balance of County Balance of County _______________________________________________________________________________________ 6. State and city but no county entry and State is same as State of Occurrence. A. City listed in Geographic City Balance of County 1/ Code Manual _______________________________________________________________________________________ B. City not listed in Balance of County 1/ Balance of County 1/ Geographic Code Manual. _______________________________________________________________________________________ C. Atlas gives 2 or more County of birth County of birth cities by same name in different counties _______________________________________________________________________________________ D. City not in atlas County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ 7. State and city, but no county entry and State is different from State of Occurrence A. City listed in Geographic City Balance of County 1/ Code Manual _______________________________________________________________________________________ 1/ Use atlas and other reference aids to establish county and/or population. See Appendix C for rules on interpreting atlas notations. If independent city or coextensive, use Section II, Part 8, Vital Records Geographic Classification Manual, 1995. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER - continued _______________________________________________________________________________________ (c) (d) Inside City Limits Item Inside City Limits Item Not reported or item not on Not reported or item not on certificate but street address reported certificate and no street address reported _______________________________________________________________________________________ County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ Balance of County Balance of County _______________________________________________________________________________________ Balance of County if indicated as "rural," City "RFD," "star route," "rural delivery." All others, code to City. ______________________________________________________________________________________ Balance of County Balance of County _______________________________________________________________________________________ Balance of County Balance of County _______________________________________________________________________________________ Balance of County 1/ if indicated as "rural," City "RFD," "star route," "rural delivery." All others, code to City. _______________________________________________________________________________________ Balance of County 1/ Balance of County 1/ _______________________________________________________________________________________ County of birth County of birth _______________________________________________________________________________________ County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ Balance of County 1/ if indicated as City "rural," "RFD," "star route," "rural delivery." All others, code to City. _______________________________________________________________________________________ 2/ Use same rules as coding city and county of residence. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER - continued _______________________________________________________________________________________ (a) (b) Inside City Limits Inside City Limits Yes No _______________________________________________________________________________________ 7. (Continued) B. City not listed in Balance of County 1/ Balance of County 1/ Geographic Code Manual _______________________________________________________________________________________ C. Atlas gives 2 or more City with largest City with largest cities by same name in population population different counties _______________________________________________________________________________________ D. City not in atlas Largest City of State Largest City of State of Residence 3/ of Residence 3/ _______________________________________________________________________________________ 8. State only specified with County/City of birth 2/ County/City of birth 2/ no city or county entry and State is same as State of Occurrence _______________________________________________________________________________________ 9. State only specified with no Largest City of State Largest City of State city or county entry and of Residence 3/ of Residence 3/ State is different from State of Occurrence _______________________________________________________________________________________ 10. A. Foreign Country - Code in data positions 31-32. (Leave data positions 33-35 blank.) 55 Canada 56 Cuba 57 Mexico 59 Remainder of World B. U.S. Possessions - Code in data positions 31-32. (Leave data positions 33-35 blank.) 52 Puerto Rico 53 Virgin Islands 54 Guam _______________________________________________________________________________________ 11. Two State entries County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ 12. City and County entry but no County/City of birth 2/ County/City of birth 2/ State entry _______________________________________________________________________________________ 1/ Use atlas or other reference aids to establish county and/or population. See Appendix C for rules on interpreting atlas notations. If independent city or coextensive, use Section II, Part 8 Instruction Manual, Vital Records Geographic Classification, 1995. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER - continued (c) (d) Inside City Limits Item Inside City Limits Item Not reported or item not on certificate Not reported or item not on certificate but street address reported and no street address reported ______________________________________________________________________________________ Balance of County 1/ Balance of County 1/ _______________________________________________________________________________________ City with largest population City with largest population _______________________________________________________________________________________ Largest City of State of Largest City of State of Residence 3/ Residence 3/ _______________________________________________________________________________________ County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ Largest City of State of Residence 3/ Largest City of State of Residence 3/ _______________________________________________________________________________________ _______________________________________________________________________________________ County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ County/City of birth 2/ County/City of birth 2/ _______________________________________________________________________________________ 2/ Use same rules as coding city and county of residence. 3/ See Appendix D for city. Item Output Code Structure Coding Instructions Position(s) FATHER'S DATE OF BIRTH Month 36-37 January. . . . . . . . . . .01 Code as reported. February . . . . . . . . . .02 March. . . . . . . . . . . .03 If any part of the date is not reported, April. . . . . . . . . . . .04 code only the missing component May. . . . . . . . . . . . .05 Not Classifiable. June . . . . . . . . . . . .06 July . . . . . . . . . . . .07 August . . . . . . . . . . .08 September. . . . . . . . . .09 October. . . . . . . . . . .10 November . . . . . . . . . .11 December . . . . . . . . . .12 Not Classifiable . . . . . .99 Day 38-39 01-31 Not Classifiable . . . . . .99 Year 232-235 Enter four digit year. Not Classifiable . . . . .9999 Filler 40-41 Blank Item Output Code Structure Coding Instructions Position(s) HISPANIC ORIGIN Mother 42 Non-Hispanic . . . . . . . . 0 When there is neither a Mexican. . . . . . . . . . . 1 "Hispanic Item" nor an "Ancestry Father 43 Puerto Rican . . . . . . . . 2 Item" on the certificate then code 9. Cuban. . . . . . . . . . . . 3 Central or South Refer to Appendix H for additional American (Spanish speaking Hispanic entries and codes as well as countries only). . . . . . .4 specific entries for categories 4 and 5. Other and unknown Hispanic . . .5 For registration areas having the Not Classifiable . . . . . . 9 "Hispanic" item, follow instructions 1-8: 1. If "No" is reported with a specified Hispanic entry in Appendix H, code the entry. 2. If "No" is reported with no specified Hispanic entry in Appendix H, code "0". 3. If "Yes" is reported with a specified Hispanic entry, assign the appropriate code of 1-5. 4. If "Yes" is reported with no specified Hispanic entry in Appendix H, and entries for race item are reported as Mexican, Cuban, or Puerto Rican or any other Hispanic entry in Appendix H, assign the appropriate code of 1-5. 5. If "Yes" is reported with no specified Hispanic entry in Appendix H and there are no Hispanic entries in race item, as identified in 4. above, refer to birthplace. If the birthplace is listed in Appendix H, then assign the appropriate code of 1-5. If birthplace is not listed in Appendix H, code 5. Item Output Code Structure Coding Instructions Position(s) HISPANIC ORIGIN 6. If more than one entry is reported code first-listed Hispanic entry, e.g., Mother for Mexican Puerto Rican, code 1. Father 7. If blank and entries for race item are reported as -Cont Mexican, Cuban, or Puerto Rican or any Hispanic entries in Appendix H, assign the appropriate code of 1-5. 8. If blank and there are no Hispanic entries in race item, as identified in 7 above, refer to birthplace. If the birthplace is listed in Appendix H, then assign the appropriate code of 1-5. Otherwise, code 9. For registration areas having an "ancestry" item, follow instructions 9- 12: 9. For all entries shown in Appendix H, assign the appropriate code of 1-5. For all other entries (including American), assign the code to 0. 10. If more than one entry is reported, code first listed Hispanic entry, e.g., for Mexican-Puerto Rican, code 1; for Irish-Cuban, code 3. 11. If blank and entries for the race item are reported as Mexican, Cuban, or Puerto Rican or any Hispanic entry in Appendix H, assign the appropriate code of 1-5. 12. If blank and there are no Hispanic entries in the race item, as identified in 11 above, refer to birthplace. If the birthplace is listed in Appendix H, assign the appropriate code of 1-5. Otherwise, code 9. Item Output Code Structure Coding Instructions Position(s) RACE Mother 44 White The expanded Asian and Pacific includes Mexican,Islander categories of A, B, C, D, Father 45 Puerto Rican, and and E are required only for the other Caucasian . . . . . . .1 following funded registration areas: California, Hawaii, Illinois, Black. . . . . . . . . . . . 2 New Jersey, New York State, New York City, Texas and Washington. Indian The remaining registration areas North American may choose to use the expanded Central American categories or continue coding South American Asian Indian, Korean, Samoan, Eskimo Vietnamese and Guamian to 8. Aleut . . . . . . . . . . .3 Refer to Appendix E for other race Asian or Pacific Islander entries on record. Chinese . . . . . . . . . .4 Japanese. . . . . . . . . .5 Refer to Appendix F for names of Hawaiian (includes Indian tribes in the U.S., Canada, part-Hawaiian). . . . . .6 and Mexico. Filipino. . . . . . . . . .7 Other . . . . . . . . . . .8 1. If Hawaiian is reported with any Asian Indian. . . . . . . .A other race, code Hawaiian. Korean. . . . . . . . . . .B Samoan. . . . . . . . . . .C 2. If more than one race is Vietnamese. . . . . . . . .D reported (except Hawaiian), code Guamian.. . . . . . . . . .E the first race listed. Multi-racial . . . . . . . . F 3. If more than one race is reported with percentages or Other Entries. . . . . . . . 0 fractions given (except Hawaiian), code the race having the higher Not Reported . . . . . . . . 9 percentage or fraction. If the percentages or fractions are equal, code the first race listed. 4. If more than one race is reported with a hyphen but without percentages (except Hawaiian), code the first race listed. Item Output Code Structure Coding Instructions Position(s) RACE 5. If entry is "Col.," "N," "Negro," "Color(ed)," "B," "Brown," "A.A." Mother "Afro-American," or African American," code 2 (Black). Father 6. If the racial entry is "Asian," Yellow," "Oriental," or "Mongolian," -cont. and birthplace is given as China, Japan, the Philippines, Hawaii, India, Korea, Vietnam, Samoa, or Guam, code to the appropriate group (code 4-7 or A-E if using the expanded code structure or code 4-8 if not using the expanded code structure). If birthplace is not one of these places, code 8 (other Asian or Pacific Islander). 7. If the racial entry is "Indian" and birthplace is not in North, Central, or South America (including Caribbean Islands), code A (Asian Indian) if using the expanded code structure or code 8 (other Asian or Pacific Islander) if not using the expanded code structure. 8. If "part___," or "1/4, 1/2, 3/4____" is given as a single race entry, disregard the prefix and code race as reported. 9. If a racial entry is reported that cannot be coded 1 - 8 or A - E, code 0 (Other Entries). 10. If the item contains an entry of "?", "-", "Unknown" or is left blank, code 9 (Not Reported). Item Output Code Structure Coding Instructions Position(s) RACE Mother 11. Use code F for entries of "multi- racial," "biracial," "mixed," and Father other synonymous terms. Do not use code F when multiple races are reported. In such cases, apply rules -cont. 2 through 4 above as applicable. Note: States not mandated by law to code multi-racial as a separate category may continue to code these entries as '0'. EDUCATION Mother 46-47 Elementary or Secondary Refer to Appendix G for other entries on records. 00-12 1. Code the highest grade College completed. 1 year . . . . . . . . . . .13 2. If two or more levels of 2 years. . . . . . . . . . .14 education are reported for a parent, 3 years. . . . . . . . . . .15 code the highest level classifiable to 4 years. . . . . . . . . . .16 codes other than 99. 5+ years . . . . . . . . . .17 Example: Not Classifiable . . . . . .99 Elementary or Secondary College Code 12 2 yrs. Tech 12 Blank 2 yrs. Tech 99 12 2 yrs. 14 3. If the entry for college is reported as a partial year or indication that a full year has not been completed and no other entry is reported (e.g., one semester, one quarter, two quarters, etc.), code 12. 4. If year is reported with a fraction or symbol such as +, -, ?, etc., ignore fraction or other symbol and code year as stated. Item Output Code Structure Coding Instructions Position(s) EDUCATION 5. If two or three semesters, three or Mother four quarters, or two or three trimesters is the only entry reported -Cont. in the college block, code 13. 6. If entry is reported as "ALL" in elementary/secondary block, code 12. If entry is reported as "ALL" .in college block, code 16. 7. If entry in college block is "A.A." or "A.S.," code 14. 8. If entry in college block is "B.B.A.," "B.A.," "A.B.," or "B.S.," code 16. 9. If entry in college block is "A.M.," "M.A.," "M.Sc.," "M.D.," "D.V.M.," "D.D.S.," D.D.M.," "D.O.," "L.L.B.," "Ph.D.," or other advanced degree, code 17. 10. When symbols such as "+," "-," "?," "/", etc., are reported in either block and no other entry is reported, code 99. If an entry is reported in either block with a symbol reported in the other block, disregard symbol and code entry as stated. 11. If entry is R.N. or B.S. in Nursing, code as follows: R.N. . .14 2 R.N. . .14 3 R.N. . .15 4 R.N. . .16 B.S. in Nursing . . . . . . . . . . . . . . .16 Father 48-49 Item deleted effective 1995. Item deleted effective 1995. 99 Code 99 for this item. Item Output Code Structure Coding Instructions Position(s) PREGNANCY HISTORY Number of Live Births Now living 50-51 Enter as stated. Code 99 for entries of "?", "None", "N.A.", "-", "X", "Unknown", "Unk.", "#", and other "0". . . . . . . . . . . . .00 such symbols. Blank. . . . . . . . . . . .77 Not Classifiable . . . . . .99 Do not include "adoptions". Now Dead 52-53 Enter as stated. "None", Blanks must be uniquely identified. "N.A.", "-", "X", "0" . . . . . . . . . .00 Blank. . . . . . . . . . . .77 Not Classifiable . . . . . .99 Number Other 54-55 Enter as stated Terminations "None", "N.A.", "-", "X", "0" . . . . . . . . . .00 Blank. . . . . . . . . . . .77 Not Classifiable . . . . . .99 DATE OF LAST LIVE BIRTH Item deleted effective 1994. Item deleted effective 1994. Month 56-57 99 Code 99 for this item. Year 58-59 99 Code 99 for this item. Item Output Code Structure Coding Instructions Position(s) MOTHER 60 Married. . . . . . . . . . . 1 Other Entries: MARRIED? Legitimate. . . . . . . . . 1 Unmarried. . . . . . . . . . 2 Widowed.2 Divorced. . . . . . . . . . 2 Not Classifiable . . . . . . 9 Separated . . . . . . . . . 1 Common Law. . . . . . . . . 1 Indian Marriage . . . . . . 1 Marriage Annulled . . . . . 2 Illegitimate. . . . . . . . 2 When there is a conflict between checkbox and other entries, code the other entry. Use codes 1, 2, and 9 for all records - with or without "marital status" item. For records with no "marital status" item, refer to names (surnames) and code as indicated below. These instructions are listed in priority-of-use order. Use first appropriate code. Paternity acknowledgment received . . . . . . . . . . . 2 Father's name missing . . . . .2 Father's and mother's current names same . . . . . . . . . . . . . 1 Father's and mother's current names different. . . . . . . . . . . 2 Father's and child's name same; mother's current name missing .1 Father's and child's name different; mother's current name missing .2 If child's surname is a hyphenated combination of the mother's and father's surnames (either entire surnames or portions of the parents' hyphenated surnames) code . . .1 Item Output Code Structure Coding Instructions Position(s) DATE LAST NORMAL MENSES BEGAN Month 61-62 January. . . . . . . . . . .01 Code as reported. February . . . . . . . . . .02 March. . . . . . . . . . . .03 If a span is reported for day, code the April. . . . . . . . . . . .04 earlier entry; e.g., January 10-11, May. . . . . . . . . . . . .05 1994, code 01 10 1994. If elapsed June . . . . . . . . . . . .06 span is 8 days or longer, code 99. July . . . . . . . . . . . .07 August . . . . . . . . . . .08 If no day is reported but an September. . . . . . . . . .09 approximate part of month is reported October. . . . . . . . . . .10 as follows, code: November . . . . . . . . . .11 December . . . . . . . . . .12 "Beginning of month". . . . . . . . . . . . .07 Not Classifiable . . . . . .99 "Middle of month" . . . . . . . . . . . . . .15 "End of month". . . . . . . . . . . . . . . .24 Day 63-64 01-31 Sometimes the estimated date Not Classifiable . . . . . .99 of confinement (EDC) or the expected date of delivery (EDD) are reported as Year 236-239 Enter four digit year. Not Classifiable . . . . .9999 date of last normal menses. When a date is reported with either of these terms or abbreviations, code the date of last normal menses as "Not Classifiable." If estimate of gestation is reported in the last normal menses item on the record, code 9999 in data positions 61-64 and 9999 in positions 236-239 (Date of Last Normal Menses) and code entry as reported in data positions 76-77 (Clinical Estimate of Gestation). Filler 65 Blank Item Output Code Structure Coding Instructions Position(s) MONTH OF 66 1st month. . . . . . . . . . 1 If any fraction of a month is reported, PREGNANCY 2nd month. . . . . . . . . . 2 round to next whole month. PRENATAL CARE 3rd month. . . . . . . . . . 3 BEGAN 4th month. . . . . . . . . . 4 If entry is "-", code "0". 5th month. . . . . . . . . . 5 6th month. . . . . . . . . . 6 If entry is reported in weeks, convert 7th month. . . . . . . . . . 7 to appropriate month using the table 8th month. . . . . . . . . . 8 below: 9th month or later. . . . . . . . . . . .9 Weeks Months None . . . . . . . . . . . . 0 1-4. . . .1 Month named. . . . . . . Blank 5-9. . . .2 Not Classifiable . . . . . . - 10-13. . .3 14-17. . .4 18-22. . .5 23-26. . .6 27-30. . .7 31-35. . .8 36+. . . .9 Named Month 67-68 January. . . . . . . . . . .01 If both a named month and the February . . . . . . . . . .02 numeric month (1-9) that prenatal March. . . . . . . . . . . .03 care began is reported, code the April. . . . . . . . . . . .04 numeric month and blank the named May. . . . . . . . . . . . .05 month field. June . . . . . . . . . . . .06 July . . . . . . . . . . . .07 If the numeric Month of Pregnancy August . . . . . . . . . . .08 Prenatal Care Began is not reported September. . . . . . . . . .09 but a named month is reported, code October. . . . . . . . . . .10 the named month and blank the November . . . . . . . . . .11 Month of Pregnancy Prenatal Care December . . . . . . . . . .12 Began field. If numeric Month of Pregnancy Prenatal Care Began is reported, the field for "Named Month" is to be blank. If entry is reported in trimesters, code "-" in data position for Month of Pregnancy Prenatal Care Began. Item Output Code Structure Coding Instructions Position(s) PRENATAL VISITS 69-70 00-48. . . . . . . . . . 00-48 If entry is reported as a span: e.g., 10- 49 and over. . . . . . . . .49 13, enter the lower number of visits. Not Classifiable . . . . . .99 (TOTAL If entry is "-", code 00. NUMBER) If entry is "None" code 00. BIRTH WEIGHT Units 71 Grams. . . . . . . . . . . . 1 If weight is reported in grams and Pounds and pounds and ounces, code grams. ounces . . . . . . . . . . 2 Not Classifiable . . . . . . 9 Fractions or decimal parts of grams of 1/2 (.50) or more are to be rounded to Weight the next whole gram. Grams 72-75 Enter as stated Fractions of pounds are to be Not Classifiable . . . . .9999 converted to ounces: e.g., 7 « pounds is to be coded as 7 pounds 8 ounces. Or Round fractional ounces to nearest Pounds 72-73 Enter as stated ounce. Entries of « or more are to Less than one pound. . . . .00 have weight of a full ounce. If fraction Not Classifiable . . . . . .99 is not legible, it is to have weight of a full ounce. Ounces 74-75 Enter as stated. No ounces. . . . . . . . . .00 If no entry or an entry of dash is Not Classifiable . . . . . .99 reported for pounds or ounces, code 00 for the portion of the birthweight that Convert Kilos to grams (1 kilo is blank or has entry of dash. = 1000 grams) If the entire birthweight item is blank or not classifiable, code 99999. Item Output Code Structure Coding Instructions Position(s) CLINICAL 76-77 Enter as stated. Entries of fractional weeks are to be ESTIMATE OF ignored. GESTATION Not Classifiable . . . . . 99 WEEKS If entry is reported in trimesters, code 99. If entry is reported as a date, code 99. If entry is reported as a span, e.g., 27-34, enter the lower number of weeks. If reported in months convert to appropriate weeks using the table below: Month(s) Weeks 3 months or less. . . . . . . . . . . . . . 99 4 . . . . . . . . . . . . . . . . . . . . . 17 5 . . . . . . . . . . . . . . . . . . . . . 22 6 . . . . . . . . . . . . . . . . . . . . . 26 7 . . . . . . . . . . . . . . . . . . . . . 30 8 . . . . . . . . . . . . . . . . . . . . . 35 9 . . . . . . . . . . . . . . . . . . . . . 40 10 . . . . . . . . . . . . . . . . . . . . . 44 Other Entries: Complete . . . . . . . . . . . . . . . . . 40 Due . . . . . . . . . . . . . . . . . . . . 40 Full Term . . . . . . . . . . . . . . . . . 40 Normal . . . . . . . . . . . . . . . . . . 40 Premature . . . . . . . . . . . . . . . . . 99 PLURALITY 78 Single . . . . . . . . . . . . .1 Code 2 for entry of Siamese twins. Twin . . . . . . . . . . . . . .2 Triplet. . . . . . . . . . . . .3 Quadruplet . . . . . . . . . . .4 Quintuplet or higher . . . . . .5 Not Classifiable . . . . . . . .9 Item Output Code Structure Coding Instructions Position(s) APGAR SCORE 1 minute 79-80 Item deleted effective 1995. Item deleted effective 1995. 99 Code 99 for this item. 5 minutes 81-82 0. . . . . . . . . . . . . .00 Enter as reported. 1. . . . . . . . . . . . . .01 2. . . . . . . . . . . . . .02 If entry is greater than 10, code 99. 3. . . . . . . . . . . . . .03 4. . . . . . . . . . . . . .04 If entry is a range, e.g., 6-8, code 99. 5. . . . . . . . . . . . . .05 6. . . . . . . . . . . . . .06 Code 99 for entry of "none". 7. . . . . . . . . . . . . .07 8. . . . . . . . . . . . . .08 If a fraction is given with an entry 9. . . . . . . . . . . . . .09 (e.g., 7.5), disregard the fractional 10 . . . . . . . . . . . . .10 part of the entry. Not Classifiable . . . . . .99 Item Output Code Structure Coding Instructions Position(s) MEDICAL RISK 83-100 FACTORS FOR THIS PREGNANCY None/Not Classifiable 83 One or more If the item is "blank," code 9 ("not factors reported . . . . . .0 classifiable") in position 83. Insert None . . . . . . . . . . . . 1 0's in positions 84-100. Not Classifiable . . . . . . 9 If the item is reported as "none," Anemia (Hct.<30/Hgb 84 Not Reported . . . . . . . . 0 code 1 in position 83. Insert 0's in <10) Reported . . . . . . . . . . 1 positions 84-100. Cardiac Disease 85 Acute or chronic 86 Otherwise, code all reported risk lung disease factors with a 1 in the corresponding Diabetes 87 position. Insert 0's in position 83 Genital herpes 88 and all other unused positions. Hydramnios/ 89 Oligohydramnios Note: If the only reported entry is Hemoglobinopathy 90 "other," code 1 in position 100. Hypertension, chronic 91 Insert 0's in positions 83-99. Hypertension, 92 pregnancy assoc. Eclampsia 93 Incompetent cervix 94 Previous infant 95 4000+ grams Previous preterm 96 or small for gestational age infant Renal disease 97 Rh sensitization 98 Uterine bleeding 99 Other 100 Filler 101-116 Blank Item Output Code Structure Coding Instructions Position(s) OTHER RISK FACTORS FOR THIS PREGNANCY Tobacco Use 117 Yes. . . . . . . . . . . . . 1 If "No" is reported for Tobacco No . . . . . . . . . . . . . 2 Use, code 00 for Average Not Classifiable . . . . . . 9 Number of Cigarettes Per Day. Average Number 118-119 Enter as stated. . . . . 00-97 If reported as number of packs, Of Cigarettes 98 and greater . . . . . . .98 multiply by 20 and code as Per Day "Less than 1". . . . . . . .01 computed. Not Classifiable . . . . . .99 If entry is reported as a span; e.g. 10-15, enter the lower number of cigarettes. Alcohol Use 120 Yes. . . . . . . . . . . . . 1 If "No" is reported for Alcohol No . . . . . . . . . . . . . 2 Use, code 00 for Average Not Classifiable . . . . . . 9 Number of Drinks Per Week. Average Number Of 121-122 Enter as stated. . . . . 00-97 If entry is reported as a span; e.g. Drinks Per Week 98 and greater . . . . . . .98 10-15, enter the lower number of "Less than 1". . . . . . . .01 drinks. Not Classifiable . . . . . .99 Weight Gained During 123-124 Enter as stated. . . . . 00-97 If weight loss reported Pregnancy 98 and greater . . . . . . .98 code "00." Not Classifiable . . . . . .99 Fractions of 1/2 or more are to be rounded to next whole pound. Item Output Code Structure Coding Instructions Position(s) OBSTETRIC 125-132 PROCEDURES None/Not Classifiable 125 One or more If the item is "blank," code 9 factors reported . . . . . .0 ("not classifiable") in position None . . . . . . . . . . . . 1 125. Insert 0's in positions Not Classifiable . . . . . . 9 126-132. If the item is reported as "none," code 1 in position 125. Insert 0's in positions 126-132. Amniocentesis 126 Not Reported . . . . . . . . 0 Otherwise, code all reported risk Reported . . . . . . . . . . 1 factors with a 1 in the Electronic fetal 127 corresponding position. Insert monitoring 0's in position 125 and all other unused positions. Induction of labor 128 Note: If the only reported entry Stimulation of labor 129 is "other," code 1 in position 132. Insert 0's in positions 125- Tocolysis 130 131. Ultrasound 131 Other 132 Filler 133-138 Blank Item Output Code Structure Coding Instructions Position(s) COMPLICATIONS OF 139-155 LABOR AND/OR DELIVERY None/Not Classifiable 139 One or more factors reported . . . . . .0 If the item is "blank," code 9 ("not None . . . . . . . . . . . . 1 classifiable") in position 139. Insert Not Classifiable . . . . . . 9 0's in positions 140-155. If the item is reported as "none," code 1 in position 139. Insert 0's in positions 140-155. Febrile (> 100o F or 140 Not Reported . . . . . . . . 0 Otherwise, code all reported risk 38o C Reported . . . . . . . . . . 1 factors with a 1 in the Meconium, moderate/ 141 corresponding position. Insert 0's heavy in position 139 and all other unused Premature rupture of 142 positions. membrane (> 12 hrs.) Abruptio placenta 143 Note: If the only reported entry is Placenta previa 144 "other," code 1 in position 155. Other excessive 145 Insert 0's in positions 139-154. bleeding Seizures during labor 146 Precipitous 147 labor (< 3 hrs.) Prolonged labor 148 (> 20 hrs.) Dysfunctional labor 149 Breech/ 150 Malpresentation Cephalopelvic 151 disproportion Cord prolapse 152 Anesthetic 153 complications Fetal distress 154 Other 155 Filler 156-170 Blank Item Output Code Structure Coding Instructions Position(s) METHOD OF 171-177 DELIVERY Not Classifiable 171 One or more If the item is "blank," code 9 ("not factors reported . . . . . .0 classifiable") in position 171. Insert Not Classifiable . . . . . . 9 0's in positions 172-177. Vaginal 172 Not Reported . . . . . . . . 0 Otherwise, code all reported Reported . . . . . . . . . . 1 methods with a 1 in the corresponding position. Insert 0's Vaginal birth after 173 in position 171 and all other unused previous C-section positions. Primary C-section 174 Repeat C-section 175 Forceps 176 Vacuum 177 Filler 178-182 Blank Item Output Code Structure Coding Instructions Position(s) ABNORMAL 183-192 CONDITIONS OF THE NEWBORN None/Not Classifiable 183 One or more If the item is "blank," code 9 ("not factors reported . . . . . .0 classifiable") in position 183. Insert None . . . . . . . . . . . . 1 0's in positions 184-192. Not Classifiable . . . . . . 9 If the item is reported as "none," code 1 in position 183. Insert 0's in positions 184-192. Anemia (Hct. < 39/ 184 Not Reported . . . . . . . . 0 Otherwise, code all reported risk Hgb.< 13) Reported . . . . . . . . . . 1 factors with a 1 in the corresponding position. Insert 0's Birth injury 185 in position 183 and all other unused positions. Fetal alcohol syndrome 186 Note: If the only reported entry is Hyaline membrane 187 "other," code 1 in position 192. disease/RDS Insert 0's in positions 183-191. Meconium aspiration 188 syndrome Assisted ventilation 189 < 30 min Assisted ventilation 190 > 30 min Seizures 191 Other 192 Filler 193-200 Blank Item Output Code Structure Coding Instructions Position(s) CONGENITAL 201-223 ANOMALIES None/Not Classifiable 201 One or more If the item is "blank," code 9 ("not factors reported . . . . . .0 classifiable") in position 201. Insert None . . . . . . . . . . . . 1 0's in positions 202-223. Not Classifiable . . . . . . 9 If the item is reported as "none," Anencephalus 202 Not reported . . . . . . . . 0 code 1 in position 201. Insert 0's in Spina bifida/ 203 Reported . . . . . . . . . . 1 positions 202-223. Meningocele Hydrocephalus 204 Otherwise, code all reported risk Microcephalus 205 factors with a 1 in the Other central nervous 206 corresponding position. Insert 0's system anomalies in position 201 and all other unused Heart malformations 207 positions. Other circulatory/ 208 respiratory anomalies Note: If the only reported entry is Rectal atresia/ 209 "other," code 1 in position 223. stenosis Insert 0's in positions 201-222. Tracheo-esophageal 210 fistula/Esophageal atresia Omphalocele/ 211 Gastroschisis Other gastrointestinal 212 anomalies Malformed genitalia 213 Renal agenesis 214 Other urogenital 215 anomalies Cleft lip/palate 216 Polydactyly/ 217 Syndactyly/ Adactyly Club foot 218 Diaphragmatic hernia 219 Other musculoskeletal/ 220 integumental anomalies Down's syndrome 221 Other chromosomal 222 anomalies Other 223 Filler 240 Blank Item Output Code Structure Coding Instructions Position(s) RECEIPT DATE Month 241 January. . . . . . . . . . . 1 Computer generated for NCHS February . . . . . . . . . . 2 use only. March. . . . . . . . . . . . 3 April. . . . . . . . . . . . 4 States submitting data in the May. . . . . . . . . . . . . 5 NCHS format should blank NCHS June . . . . . . . . . . . . 6 positions 241-244. July . . . . . . . . . . . . 7 August . . . . . . . . . . . 8 September. . . . . . . . . . 9 October. . . . . . . . . . . 0 November . . . . . . . . . . - December . . . . . . . . . . & Day 242-243 01-31 Year 244 Last digit AGE Mother 245-246 Enter as stated. Disregard symbols such as "+," "- ," "?." Father 247-248 Unknown or not stated . . . . . . . . . . .99 Enter age only if date of birth is not reported or date is incomplete. When date of birth of mother is reported, data positions 245-246 will be coded 99. When date of birth of father is reported, data positions 247-248 will be coded 99. If neither date of birth nor age is reported, data positions 23-28, 36-41 and 245-248 are to be coded as "not classifiable." Filler 249-255 Blank Appendix A Geographic Codes for State of Birth and Residence Code State Abbrev. Code State Abbrev. 01 Alabama AL 28 Nebraska NE 02 Alaska AK 29 Nevada NV 03 Arizona AZ 30 New Hampshire NH 04 Arkansas AR 31 New Jersey NJ 05 California CA 32 New Mexico NM 06 Colorado CO 33 New York NY 07 Connecticut CT 34 North Carolina NC 08 Delaware DE 35 North Dakota ND 09 District of Columbia DC 36 Ohio OH 10 Florida FL 37 Oklahoma OK 11 Georgia GA 38 Oregon OR 12 Hawaii HI 39 Pennsylvania PA 13 Idaho ID 40 Rhode Island RI 14 Illinois IL 41 South Carolina SC 15 Indiana IN 42 South Dakota SD 16 Iowa IA 43 Tennessee TN 17 Kansas KS 44 Texas TX 18 Kentucky KY 45 Utah UT 19 Louisiana LA 46 Vermont VT 20 Maine ME 47 Virginia VA 21 Maryland MD 48 Washington WA 22 Massachusetts MA 49 West Virginia WV 23 Michigan MI 50 Wisconsin WI 24 Minnesota MN 51 Wyoming WY 25 Mississippi MS 52 Puerto Rico PR 26 Missouri MO 53 Virgin Islands VI 27 Montana MT 54 Guam GU 55 Canada 55 Canadian Provinces Alberta (Alta.) British Columbia (B.C.) Great Northwest Territories (GNWT or NWT) Manitoba (Man.) New Brunswick (N.B.) Newfoundland (Nfld.) Nova Scotia (N.S.) Ontario (Ont.) Prince Edward Island (PEI) Quebec, Province of Quebec (Que. or P.Q.) Saskatchewan (Sask.) Yukon Territory (Y.T.) 56 Cuba 57 Mexico 59 Remainder of World Note: Remember to distinguish between the Country of Georgia (in former Soviet Union) which is coded to Remainder of World (59) and the State of Georgia which is coded to 11. Appendix B Major Cities in the United States and the State in Which They Are Located (Use if state is reportable but not reported) Atlanta, Georgia Baltimore, Maryland Boston, Massachusetts Buffalo, New York Chicago, Illinois Cincinnati, Ohio Cleveland, Ohio Dallas, Texas Denver, Colorado Detroit, Michigan Houston, Texas Indianapolis, Indiana Los Angeles, California Memphis, Tennessee Milwaukee, Wisconsin Minneapolis, Minnesota New Orleans, Louisiana New York, New York Philadelphia, Pennsylvania Pittsburgh, Pennsylvania San Antonio, Texas San Diego, California San Francisco, California Seattle, Washington St. Louis, Missouri Washington, District of Columbia Appendix C Interpretations of Atlas Notations 1. If the notation "part of _____" or "population included in _____" appears, consider the entry to be an inclusion of the city named and code accordingly. 2. If the notation "rural" and "mail to _____" or "no pop." appears, code to the balance of the county. 3. If only the notation "mail to _____" or "population included with _____" appears, code to the balance of the named county. ("Population included with" refers to an unincorporated place.) 4. If the notation "Station," "Branch of _____" or "Rural Station" appears, code to the balance of county. 5. If the notation "Station of _____ P. O." appears, consider the entry to be an inclusion of the city named and code accordingly. Appendix D Largest City and Code by State of Residence State of Residence NCHS Code Largest City 01 Alabama 008 Birmingham 02 Alaska 001 Anchorage 03 Arizona 017 Phoenix 04 Arkansas 014 Little Rock 05 California 143 Los Angeles 06 Colorado 009 Denver 07 Connecticut 004 Bridgeport 08 Delaware 003 Wilmington 09 District of Columbia 001 Washington 10 Florida 041 Jacksonville 11 Georgia 005 Atlanta 12 Hawaii 003 Honolulu 13 Idaho 001 Boise City 14 Illinois 034 Chicago 15 Indiana 027 Indianapolis 16 Iowa 012 Des Moines 17 Kansas 033 Wichita 18 Kentucky 017 Louisville 19 Louisiana 022 New Orleans 20 Maine 006 Portland 21 Maryland 003 Baltimore 22 Massachusetts 012 Boston 23 Michigan 025 Detroit 24 Minnesota 041 Minneapolis 25 Mississippi 017 Jackson 26 Missouri 028 Kansas City 27 Montana 002 Billings State of Residence NCHS Code Largest City 28 Nebraska 011 Omaha 29 Nevada 005 Las Vegas 30 New Hampshire 008 Manchester 31 New Jersey 104 Newark 32 New Mexico 002 Albuquerque 33 New York 053 New York 34 North Carolina 009 Charlotte 35 North Dakota 003 Fargo 36 Ohio 034 Columbus 37 Oklahoma 025 Oklahoma City 38 Oregon 027 Portland 39 Pennsylvania 092 Philadelphia 40 Rhode Island 014 Providence 41 South Carolina 007 Columbia 42 South Dakota 007 Sioux Falls 43 Tennessee 030 Memphis 44 Texas 075 Houston 45 Utah 020 Salt Lake City 46 Vermont 001 Burlington 47 Virginia 022 Norfolk 48 Washington 034 Seattle 49 West Virginia 003 Charleston 50 Wisconsin 035 Milwaukee 51 Wyoming 002 Cheyenne 52 Puerto Rico 765 San Juan 53 Virgin Islands 001 Charlotte Amalie Appendix E Other Entries Reported on Records and Code for Race The expanded Asian and Pacific Islander categories of A, B, C, D, and E are required only for the following funded registration areas: California, Hawaii, Illinois, New Jersey, New York State, New York City, Texas and Washington. The remaining registration areas may choose to use the expanded categories or continue coding Asian Indian, Korean, Samoan, Vietnamese and Guamian to 8. ENTRY CODE Afghanistan . . 1 African . . 2 Aleut . . 3 Algerian. . .1 Alocona . . 0 Ameriasian. . .8 American. . .1 Amish . . .1 Anglo-Saxon . . 1 Arabian . . 1 Argentinian . . 1 Armenian. . .1 Aryan . . 1 Asian Indian. . .8 or A Asiatic . . 8 Assyrian. . .1 Athapaskan . . 3 Australian. . .1 Austrian. . .1 Azores. . .1 Bahamian. . .0 Bangladeshi . . 8 Basque . . 1 Bavarian. . .1 Begri . . 0 Belizian. . .0 Bilalian. . .2 Biracial. . .0 or F Blanc . . 1 Bohemian. . .0 Bolivian. . .1 Brava (Bravo) . . 1 Brazilian . . 1 British Honduran. . .0 Burmese . . 8 C . . 0 Cajun . . .1 Cambodian . . 8 Canadian. . .1 Cape Verde. . .2 Carib . . 0 Caucasian . . 1 Ceylonese . . 8 Chamorro. . .8 or E Chamosso. . .0 Chicano . . 1 ENTRY CODE Chinese . . 4 Chuukese. . .8 Colestran . . 0 Colombian . . 1 Cosmopolitan. . .0 Costa Rican . . 1 Creole. . .1 Crucian . . 1 Cuban . . 1 Czechoslovakian . . 1 Dominican . . .2 Dutch East Indian . . 8 East Indian . . 8 or A East Indies . . .8 Ebian . . 1 Ecuadorian. . .1 Egyptian. . .1 English . . .1 English-French. . .1 English-Irish . . 1 Eritrean. . .2 Eskimoan. . .3 Ethiopia(n) . . .2 Eurasian. . .8 European. . .1 Fijian. . .8 Filipino. . .7 Finnish . . 1 French. . .1 French Canadian . . 1 French Indian . . .3 Georgian. . .1 German. . .1 Ghanaian. . .2 Gilbertese. . .8 Greek . . 1 Guam(ian)(ese) . . 8 or E Guatemalan. . .0 Guyanese. . .0 Gypsy . . 1 Haitian . . 2 Hamitic . . 2 Hawaiian. . .6 Hebrew. . .1 Hindu . . 8 or A Hispanic. . .1 Honduran. . .0 Hungarian . . 1 ENTRY CODE Icelandic . . 1 India . . 8 or A Indian (North, Central and South American). . .3 Indo-Aryan. . .8 or A Indonesian. . .8 Iran(ian) . . 1 Iraqi . . 1 Irish . . 1 Islamic . . 1 Israelite . . 1 Italian . . 1 Jackson (Jack) White. . .0 Jamaican. . .2 Japanese. . .5 Java. . .8 Jew . . 1 Jordanian . . 1 Kenyan. . .2 Korean. . .8 or B Kuwaitian . . 1 Ladina (Ladino) . . 1 Laotian (Asian) . . .8 Latin American. . .1 Latvian . . 1 Lebanese. . .1 Liberian. . .2 Libyan. . .1 Lithuanian. . .1 Mal. . . 0 Malada. . .0 Malawian. . .2 Malayan . . 8 Maltese . . 1 Maori . . 8 Marshallese . . 8 Marshenese. . .1 Mauritian . . 1 Mediterranean . . 1 Melanesian. . .8 Mestizo . . 0 Mestizo-Inca. . .0 Mexican . . 1 Mexican Indian. . .3 Micronesian . . 8 Mixed . . 0 or F Mohammedan (Moslem) . . 1 Moor. . .0 Moroccan. . .1 Mosotho . . .0 Mugandan. . .2 Mulatto . . 2 ENTRY CODE Multi-racial. . .0 or F Muslim. . .1 N/W . . 0 Nassau . . 2 Native American . . 3 Nepalese. . .8 Nicaraguan. . .0 Nigerian. . .2 Nipponese (Nipon) . . 5 Nordic. . .1 Norwegian . . 1 Nubian. . .2 Occidental. . .1 Octaroon. . .2 Okinawan. . .5 Pakistani . . 8 Palauan . . .8 Panamanian. . .0 Parsi . . 1 Persian . . 1 Peruvian. . .1 Phoenician. . .0 Polish. . .1 Polynesian . . 8 Ponapean. . .8 Portuguese. . .1 Puerto Rican. . .1 Punjabi . . 8 or A Quadroon. . .2 Red . . 3 Romanian. . .1 Rotanese. . .8 Russian . . 1 Ryukyan . . 5 Saipanese . . 8 Salvadorian . . 0 Samoa(n) . . 8 or C Santo-Domingo . . .2 Saudi Arabia(n) . . 1 Saxon(y). . .1 Scandinavian . . 1 Scotch. . .1 Selawik . . 3 Semitic . . 1 Serbian . . 1 Servian . . 1 Seychelloise . . 2 ENTRY CODE Siamese . . 8 Siamsh Am . . 0 Sicilian. . .1 Sikh. . .8 or A Singhalese. . .8 Sino Burman . . 4 Slovakian . . 1 Soanish . . 0 South American. . .1 Spanish . . 1 Sudanese. . .2 Sunni . . 1 Swedish . . 1 Syrian. . .1 Tahitian. . .8 Taimskin. . .3 Taiwanese . . 4 Tamil-Ceylonese . . 8 Tamil-Malayan . . 8 Tanzanian . . 2 Teutonic. . .1 Thai. . .8 Tibetan . . 8 Tongan. . .8 Trigueno. . .0 Trinidadian . . 2 Trukese . . 8 Tunisian. . .1 Turk. . .1 Ubontilian. . .8 Ugandan . . 2 Ukranian. . .1 Ulithian. . .0 Ute . . 3 Venezuela(n). . .1 Vietnam(ese). . .8 or D W . . 1 Welsh . . 1 West Indies (Indian) . . 2 Wiam (White American) . . 1 Yapanes . . 8 Yemenite. . .1 Yugoslavian . . 1 Zoroastrian . . .1 Appendix F Indian Tribes in the United States, Canada, and Mexico Abnaki Absentee-Shawnee Acoma Ak Chin Alabama-Coushatt Tribes of Texa Alsea Apache Arapaho Arikara Assiniboin Atacapa Athapaskan Atsina Aztec Bear River Beaver Bella Coola Beothuk Blackfoot Boold Piegan Blue Lake Brotherton Caddo Cakchiquel-lenca Calapooya Carrier Catawba Cattaraugus Cayuga Cayuse Chasta Costa Chehalis Chemehuevi Cherokee Chetco Cheyenne Cheyenne River Sioux Chickahominy Chickasaw Chinook Chipewyan Chippewa Chippewa-Ojibwa Chiricahua Apache Chitimacha Choctaw Chol Chontal Chorti Chuckchansi Chumash Clallam Clatsop Clackamus Clear Lake Coast Salish Cochimi Cochiti Cocopa Coeur D'Alene Tribe of Idaho Cocopah Columbia Colville Comox Comanche Concow Conquille Coushatta Covelo Cow Creek Cowichan Cowlitz Coyotero Apache Cree Creek Crow Crow Creek Sioux Dakota Delaware Diegueno Digger Dog Rib Duckwater Euchi Eyak Flathead Fort Hall Res. Tribe of Idaho French Indian Gabrieleno Galice Creek Gay Head Gosiute Gros Ventre Haida Han Hare Hat Creek Hawasupai Hidatsa Hoh Hoopa Hopi Houma Hualapai Huastec Humboldt Bay Hupa Huron Illinois Ingalik Iowa Iroquois Isleta Jemez Joshua Juaneno Jicarilla Apache Kaibah Kalispel Kanosh Band of Paiutes Kansa Karankawa Karok Kaska Kaw Kawai Keresan Pueblos Kern River Kichai Kickapoo Kiowa Kiowa Apache Kitamat Klamath Klikitat Koasati Kootenai Tribe of Idaho Kusa Kutchin Kutenai Kwakiutl Lac Courte Dreille Laguna Lakmuit Lipan Apache Lower Brule Sioux Luiseno Lummi Maidu Makah Malecite Mandan Maricopa Mary's River Mashpee Mattaponi Maya Mayo Mdewakanton Sioux Menominee Menomini Mequendodon Mescalero Apache Miami Micmac Mission Indians Missouri Miwok Mixe Mixtec Modoc Mohave Mohawk Mohegan Molala Monachi Mono Montagnais Montauk Muckleshoot Munsee Nambe Namsemond Nanticoke Narragansett Naskapi Natchez Navaho Navajo Nez Perce Niantic Nipmuck Nisenan-Patwin Nisqually Nomelaki Nooksak Nootka Northern Paiute Oglala Sioux Okanogan Omaha Oneida Onondaga Opata Opato Osage Oto Otoe Otomi Ottawa Ozette Paiute Pamunkey Panamint Papago Passamaquoddy Patwin Pawnee Pen d'Oreille Penobscot Peoria Pequot Picuris Pima Pit River Pojoaque Pomo Ponca Poosepatuck Potawatomi Potomac Powhatan Pueblos Puyallup Quapaw Quechan Quileute Quinaielt Quinault Rappahannock Rogue River Rosebud Sioux Sac and Fox Saginaw Salish Sandia San Felipe San Ildefonso San Juan San Lorenzo San Luis Obispo San Luiseno Sanpoil Sanpoil Nespelem Sant'ana Santa Barbara Santa Clara Santa Ynez Santee Santee Sioux Santiam Sauk and Fox Scaticook Sekane Seminole Seneca Seri Shasta Shawnee Shinnecock Shivwits Band of Paiutes Shoshone Shoshone-Bannock Shuswap Siouans Sioux Sisseton Sisseton-Wahpeton Sioux Siuslaw Skagit Suiattle Skokomish Slave Smith River Snake Snohomish Snoqualmi Songish Southern Paiute Squaxin Stockbridge Sumo-Mosquito Suquamish Swinomish Taimskin Tanana Tanoan Pueblos Taos Tarahumare Tarascan Tawakoni Tejon Tenino or Warm Springs Tesuque Teton Teton Sioux Tillamook Timucua Thlinget Tolowa Tonawanda Tonkawa Tonto Apache Topinish Totonac Tsimshian Tulalip Tule River Indians Tunica Tuscarora Tututni Umatilla Umpqua Upper Chinook Ute Waca Waicuri-Pericue Wailaki Walapai Walla Walla Wampanoag Wapato Warm Springs Wasco Washo Washoe Western Apache Western Shoshone Whilkut Wichita Wikchamni Wind River Shoshone Winnebago Wintu Wintun Wishram Wyandotte Xicaque Yahooskin Yakima Yamel Yana Yankton Yanktonnais Sioux Yaqui Yaquina Yavapai Yawilmani Yellow Knife Yerington Paiute Yokuts Yokuts-Mono Yomba Shoshone Yuchi Yuki Yuma Yurok Zacatec Zapotec Zia Zoque Zuni Appendix G Other Entries Reported on Records and Codes for Education of Mother and Father College Entries Code 4 + 2 . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Post graduate . . . . . . . . . . . . . . . . . . . . . . .17 16 mos. . . . . . . . . . . . . . . . . . . . . . . . . . .13 (convert months by dividing by 9) (1 yr. 7 mos.) 3/4 . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 2.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 1+1 N.T . . . . . . . . . . . . . . . . . . . . . . . . . .13 1500 hrs. . . . . . . . . . . . . . . . . . . . . . . . . .99 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 P. G. - 4 . . . . . . . . . . . . . . . . . . . . . . . . .99 In 2nd year . . . . . . . . . . . . . . . . . . . . . . . .13 B . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 BA with 1 yr. law . . . . . . . . . . . . . . . . . . . . .17 Senior. . . . . . . . . . . . . . . . . . . . . . . . . . .15 Soph. . . . . . . . . . . . . . . . . . . . . . . . . . . .13 College . . . . . . . . . . . . . . . . . . . . . . . . . .16 University. . . . . . . . . . . . . . . . . . . . . . . . .16 1 year Prep. . . . . . . . . . . . . . . . . . . . . . . .99 Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 4 semesters . . . . . . . . . . . . . . . . . . . . . . . .14 Assoc. degree . . . . . . . . . . . . . . . . . . . . . . .14 Graduate. . . . . . . . . . . . . . . . . . . . . . . . . .16 6 months . . . . . . . . . . . . . . . . . . . . . . . . .12 2/3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Less than 3/4 or less than 9 mos. . . . . . . . . . . . . .12 Technical or Trade School . . . . . . . . . . . . . . . . . 99 Junior College. . . . . . . . . . . . . . . . . . . . . . .14 Juris Doctor . . . . . . . . . . . . . . . . . . . . . . .17 Masters . . . . . . . . . . . . . . . . . . . . . . . . . .17 Elementary or Secondary Entries Code Kindergarten. . . . . . . . . . . . . . . . . . . . . . . .00 Finished in service . . . . . . . . . . . . . . . . . . . .12 G.E.D - Army. . . . . . . . . . . . . . . . . . . . . . . .12 3 - graduate. . . . . . . . . . . . . . . . . . . . . . . .11 Senior. . . . . . . . . . . . . . . . . . . . . . . . . . .11 Soph. . . . . . . . . . . . . . . . . . . . . . . . . . . .09 High School . . . . . . . . . . . . . . . . . . . . . . . .12 Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 GED . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Graduate . . . . . . . . . . . . . . . . . . . . . . . . .12 Elementary. . . . . . . . . . . . . . . . . . . . . . . . .06 Secondary . . . . . . . . . . . . . . . . . . . . . . . . .12 Appendix H Other Entries Reported on Records and Code for Hispanic Origin ENTRY CODE Argentina (Argentino). . . . . . . .4 Balearic Islands . . . . . . . . . .5 Basque . . . . . . . . . . . . . . .5 Belizian . . . . . . . . . . . . . .4 Bolivian (Boliviano) . . . . . . . .4 Boricua (Borinqueno) . . . . . . . .2 Brazilian. . . . . . . . . . . . . .0 Californio . . . . . . . . . . . . .5 Canary Islands . . . . . . . . . . .5 Castilian. . . . . . . . . . . . . .5 Catalonia. . . . . . . . . . . . . .5 Centroamericano. . . . . . . . . . .4 Chicano. . . . . . . . . . . . . . .1 Chile (Chileno). . . . . . . . . . .4 Colombia (Colombiano). . . . . . . .4 Costa Rica (Costarricense) . . . . .4 Cuban (Cubano) . . . . . . . . . . .3 Dominican Republic (Dominicano). . . . . . .4 Ecuador (Ecuatoriano). . . . . . . .4 El Salvador. . . . . . . . . . . . .4 Espana . . . . . . . . . . . . . . .5 Espanol. . . . . . . . . . . . . . .5 Falkland Island. . . . . . . . . . .4 Fernando Po. . . . . . . . . . . . .5 Galapagos Islands. . . . . . . . . .4 Guatemala (Guatemalteco) . . . . . .4 Hispano . . 5 Honduras (Hondureno). . .4 Iberia (Ibero). . .5 La Raza . . 4 Latin American. . .5 Latino. . .5 Majorca . . 5 Mallorca (Mallorquin) . . 5 Mexican (Mexicano). . .1 Mexican American. . .1 Nicaragua (Nicaraguense). . .4 Panama (Panameno) . . 4 Paraguay (Paraguayo). . .4 Peru (Peruano). . .4 Puerto Rican (Puertorriqueno) . . 2 Salvadoreno . . 4 Spain . . 5 Spaniard. . .5 Uruguay (Uruguayo). . .4 Valencian . . 5 Venezuela (Venezolano). . .4 Appendix I Sampling Rate Number of Expected Sampling Percent Sample Records Volume of Records Rate Sample Minimum Maximum Less than 1,200 1 in 1 100.00 - 1,199 1,200- 2,999 1 in 2 50.00 600 1,500 3,000- 5,999 1 in 5 20.00 600 1,200 6,000- 11,999 1 in 10 10.00 600 1,200 12,000- 14,999 1 in 20 5.00 600 750 15,000- 29,999 1 in 25 4.00 600 1,200 30,000- 59,999 1 in 50 2.00 600 1,200 60,000- 74,999 1 in 100 1.00 600 750 75,000-119,999 1 in 125 0.80 600 960 120,000-149,999 1 in 200 0.50 600 750 150,000-299,999 1 in 250 0.40 600 1,200 300,000 + 1 in 500 0.20 600 - Vital Statistics Instruction Manuals Part 1 Source Records and Control Specifications (1995) Part 2a Instructions for Classifying the Underlying Cause of Death (1999) Part 2b Instructions for Classifying Multiple Causes of Death (1999) Part 2c ICD-10 ACME Decision Tables for Classifying Underlying Causes of Death (1999) Part 2d NCHS Procedures for Mortality Medical Data System File Preparation and Maintenance (1999) Part 2e Non-Indexed Terms, Standard Abbreviations, and State Geographic Codes Used in Mortality Data Classification (1995) Part 2f ICD-10 TRANSAX Disease Reference Tables for Classifying Multiple Causes-of-Death (1999) Part 2g Data Entry Instructions for the Mortality Medical Indexing, Classification, and Retrieval System (MICAR) (1999) Part 2h Dictionary of Valid Terms for the Mortality Medical Indexing, Classification, and Retrieval System (MICAR) (1992) Part 2i MICAR Quick Reference Guide (1999) Part 3a Classification and Coding Instructions for Live Birth Records (1999) Part 3b Classification and Coding Instructions for Fetal Death Records (1999) Part 4 Demographic Classification and Coding Instructions for Death Records (1999) Part 5 Data Preparation of the Current Mortality Sample (1995) Part 6 Classification and Coding Instructions for Marriage Records (1995) Part 7 Classification and Coding Instructions for Divorce Records (1995) Part 8 Vital Records Geographic Classification (1995) Part 9 ICD-10 Underlying Cause of Death Lists for Tabulating Mortality Statistics (1999) Part 10 Classification and Coding Instructions for Induced Termination of Pregnancy Records (1993) Part 11 Computer Edits for Mortality Data (1999) Part 12 Computer Edits for Natality Data (1993) Part 18 Guidelines for Implementing Field and Query Programs for Registration of Births and Deaths (1993) Part 19 Industry and Occupation Coding for Death Certificates (1998) Part 19B Alphabetical Index of Industries and Occupations (1998) Part 20 Cause-of-Death Query Manual (1999)